Endoscopic suturing with Ovestitch in “Candy cane syndrome” after oesophago-jejunostomy: a case report

Text A 39-year-old woman with advanced gastric adenocarcinoma underwent chemotherapy and subsequent gastrectomy with termino-lateral oesophago-jejunal anastomosis. Two months later, patient developed Candy-cane syndrome.At oesophagogastroduodenoscopy, a straight and fast access to afferent limb pouch was observed,with difficult access to efferent loop.After Argon Plasma Coagulation,the opposite borders of afferent limb were put closed using endoscopic suturing system Apollo Overstitch SX with double wire charge and passage of running points,reducing the filling of cul-de-sac and allowing a direct transit through efferent limb. Patient resumed stepwise oral feeding and her symptoms improved [1] [2] [3] [4].